KOLEJ YAYASAN SAAD MELAKA
CLEARANCE / APPROVAL FORM FOR COLLEGE ACTIVITIES
This section (no. 1 to 23) to be completed by the teacher or advisor ONLY.
| 1. | Date of form submission | : | Day: Time: |
| 2. | Name of class / society / club / team subject / others |
: | |
| 3. | Activity | : | |
| 4. | Venue | : | |
| 5. | Date of activity | : |
From
Day:
Time: to Day: Time: |
| 6. | Total of students involve | : | No. of Boys: No. of Girls: |
| 7. | Accommodation venue if staying overnight | : | |
| 8. | Accompanying teachers / staff | ||
| Checklist ( Please tick √ at the box provided ) : | Attached | Pending | Not Required |
20. Meal(s) request from Dining Hall
| Date | Day | Breakfast | Morning Tea Break |
Lunch | Dinner | Number of packages required |
|---|---|---|---|---|---|---|
21. Meal(s) that will not be consumed at the Dining Hall
| Date | Day | Breakfast | Morning Tea Break |
Lunch | Dinner | Number of students absent |
|---|---|---|---|---|---|---|
| 22. | Name of applicant (teacher/advisor) | : | |
| 23. | Signature of applicant (teacher/advisor) | : |
24. Clearance / Comments / Approval by HOUSEMASTER / HOUSEMISTRESS
25. Clearance / comments / approval by COORDINATOR
26. Clearance / comments by STUDENT AFFAIRS MANAGER
| 26.1 : Clearance / Comments / Approval | : | Yes | ||
| No | ||||
|
STUDENT AFFAIRS MANAGER
|
||||
27. Clearance / comments by CURRICULUM MANAGEMENT MANAGER
| 27.1 : Approved / Disapproved | : | Yes | ||
| No | ||||
|
CURRICULUM MANAGEMENT MANAGER
|
||||
28. Clearance / comments / approval by GENERAL MANAGER
| 28.1 : Budget | : | Yes | ||
| No | ||||
| 28.2 : Transportation | : | Yes | ||
| No | ||||
| 28.3 : The usage of premises | : | Yes | ||
| No | ||||
| 28.4 : The usage of Furniture / Equipment (include PA System) |
: | Yes | ||
| No | ||||
| 28.5 : Staff Clearance (include O/T) |
: | Yes | ||
| No | ||||
| 28.6 : Food | : | Yes | ||
| No | ||||
| 28.7 : Others | : | Yes | ||
| No | ||||
| 28.8 : Clearance / Comments / Approval | : | Yes | ||
| No |
GENERAL MANAGER
29 Clearance/comments by PRINCIPAL
| 29.1 : Approved / Disapproved | : | Yes | ||
| No | ||||
|
PRINCIPAL
|
||||
FOR ADMINISTRATION DEPT. USE ONLY
Make copies for
| 1) Housemaster / Housemistress's Office | received by : ................................... | Date : ....................... | |
| 2) Senior Food & Accommodation Manager | received by : ................................... | Date : ....................... | |
| 3) Others : | |||
| 4) Please specify | |||
| 4.1) Senior A/C Assistant | received by : ................................... | Date : ....................... | |
| 4.2) Amelia | received by : ................................... | Date : ....................... | |
| 4.3) Others | received by : ................................... | Date : ....................... | |
| 5) File | received by : ................................... | Date : ....................... |
Digital Clearance Form V1.2 2026